Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Prem Patel, MD

Individual provider Cardiovascular Disease Physician · NPI 1376073684

Dr. Prem Patel, MD is an Internal Medicine in Cedar Knolls, New Jersey. Qualified in 2017, 9 years ago. Practices with St Josephs Physicians Healthcare Group Inc, a 26-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

65 Ridgedale Ave
Cedar Knolls, NJ 07927-1313
Phone: (973) 401-1100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 25MA11360900 (NJ)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 25MA11360900 (NJ)

Record details

NPI number1376073684
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESSeptember 15, 2024
Certification dateSeptember 15, 2024
Mailing address703 Main St, Paterson, NJ 07503-2621

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Josephs Physicians Healthcare Group Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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